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636 NE 101 St (13)1 CERTIFICATE OF OCCUPANCY N? 841 MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot ' Block Subdivision - Street Address _ • Approved use by occupancy `;= ` Remarks. !; This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING MTVISION OWNER'S NAME li4. 5c.I�of ,41J PRESENT PRESENT ADDRESS bap A �C.• /O/ s s� LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) (. A c- At. E . /0/ .. . S' r LOT 4. . c ,__ # 44 11. .S BLOCK SUBDIVISION 1 I 0 4- LI ; 'es_ GENERAL CONTRACTOR E. A . K,, .s.) n, 10 c-. p."? - J ar ADDRESS r PHONE NO, 4' LICENSE NO. BUILDING PERMIT NO. 7Y rt.. DATE . - 7 -7 - rO PERMIT FEE $ / BUILDER'S BOND NO. DATE Aoo1TL -J ZONE REQUIREMENTS CU. FT. PLAN CUBE dLa •• ` CU. FT. Oo EST. COST $ I7-bo DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:C• F{• /1.1 R/L BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE DATE io 23 - . NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION O f7 1-t C- A 2 ?O , — ALTERATION DESCRIPTION C A' --, 1; - - '- '% C-' ADDITION SUBMITTED TO PLANNING BOARD APPROVED to -Q- $'es REJECTED REFERRED TO COUNCIL REASONS PILes..OPD Z.cr7EAL /3 Cr, ..,e..3 P'- —' RE- SUBMITTED TO PLANNING BOARD Al C y. r PRe ,06.. 0....as - SUBMITTED TO VILLAGF COUNCIL II 1 0- 21-, p p REMARKS I � - l_R . 4 C 7 0 i CERTIFICATE OF OCCUPANCY NO. �� _ I ISSUE D '11 '� BY TO L e - DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:C• F{• /1.1 R/L BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE DATE io 23 - . INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGH ING $ ROOF SEPTIC TANK ROUGHING BEAMS & LINTELS $ :SUB & TOP OUT POOL $ FRAMING , ,P' SOLAR HEATER AIR COND. MOTORS $ FINAL GAS FIXTURES CLEAN UP $ $ SLAB $ SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE RE - INSPECT FEE TEMPORARY SERVICE BY ROUGH ING $ FEE SEPTIC TANK ROUGHING $ :SUB & TOP OUT SEWER $ $ , ,P' SOLAR HEATER SEWER MOTORS $ GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY ROUGH ING DATE FEE TEMPORARY SERVICE ROUGHING $ :SUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK $ 5 SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES $ 5 INSPECTIONS DATE BY RE- INSPECT 1 BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE ADDITION ELECTRICAL PERMITS Be INSPECTIONS PHONE FEE $ REPAIRS BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE s ;? PERMIT N? 7956 ❑ Work to be performed under this Permit Bi. Subdi- vision rt i Contractor's License No. / c�X -c u_ Sq. Ft Value of n Project $ ;r ?_) 7 Amt. of Permit $ j This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed• BY INSPECTOR 195 6' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict copformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assumml responsibility for all work done by either, myself, my agent, servant or employee. 9 . CONTRACTOR R BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL ❑ DATE fi 195 PLUMBING ❑ PERMIT N° 8054 0 5 4 Contractor's ? License No. ROOFING [2 BUILDING ❑ ❑ Work to be performed under this Permit— Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot BI. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. C : Subdi- vision Sq. Ft Value of Project $ Amt. of e Permit $ Signed • { BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o dinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, syroa t or employee. / /V/ P . CONTRACTOR OR BUILDER BY L AUTHORITY 7 �7 74 Owner's Name and Address 7kk Registered Architect and /or Engineer ...... ..�... .... Name and address of licensed contractor Location and legal description of lot to be built on: State work to be done vd purpose of building (by floors) i' Disapproved (Signed) Building In for MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Lot Block Subdivision Street and Number where work is to be done cA Remarks (Signed)._ Date f No Street li be New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering e ' ' ' Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All :notices with reference to the building and its construction may be sent to !...,.Q- ;°? /er /7/A,t s2 Z. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup`dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such. bco ors, wo to he--�rf ed permit, as are licensed by Miami Shores Village. d�a :.c%'� /�_� STATE OF FLORIDA, ss ` 6 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the f egoing application, and that he did sign the same, and that all facts therein by him stated are tape. I _ I V `j ' Permit No c ' Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida It ,19%SI and for no other purpose. i L) My Commission Expires PLANNING BOARD DATE Chairman / Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Address._ Registered Architect and /or Engineer..._ _ .. __ Name and address of licensed contractor Disapproved / -( Dat (Signed) Building Inspe • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot7' L W I't Block t s4bdiv. Street and Number where work is to be done State work to be done and purpose of building (by floors) (' 3 Date No. (..9 g Street C 444.4 4 ic- J _3 ,19 cf '1- S t ( and for no other purpose. New Building Remodeling Addition /\ Repairs ._ No. of Stories 6 To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ D �� ` b Amount of Permit $ Zone cubage required plan Cubage!r2a__ 4. Distance to next nearest building d Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc tract on w to be performed under this permit, as are licensed by Miami Shores Village. e- Remarks (Signed) 4-- f 2' STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No � � , Date / �' 2 -e a worn to and Subscribed before me. \ _ N otary Public, State of Florida ..MylCommission Expires ANNING BOARD DATE Chairman Member Member Member Member .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Contic=en: dhcree VillaLx Council Jhorce, FloriCa Ccto:Jor 21, 1050 Thf.e ie to cenfiril Dy o7a1 accuont fcc :;47. :::JoI= to the car 7y:rt accoran: to the ?lane a:7ovec 7,):7 the '211annf.